DME MAC A IVR User Guide - Same Options
Same or Similar - Option 7
The same or similar option only provides information on base codes, not related accessories or drugs. For
example, if a beneficiary has a manual wheelchair (K0001) and leg rests (K0195), the same or similar option
only provides equipment that is same or similar for the K0001. No information will be given on the K0195.
The Certificate of Medical Necessity option is still available which can give accessories and/or drugs related to a base code.
When same or similar status is selected, the IVR will request and collect the following elements:
• National Provider Identifier (NPI)
• PTAN (10-digit supplier number)
• Last 5 digits of the Tax Identification Number (TIN)
• Beneficiary Medicare number
• Beneficiary first and last name (last name and first initial if using touch-tone)
• Beneficiary date of birth
• HCPCS code
Once the authentication elements have been verified, the IVR will supply the following, if applicable:
• Initial certification date
• Recertification date
• Revised date
• Length of need
• Same or Similar HCPCS code
At any time during same or similar status the caller can give the next Medicare number if multiple same or
similar status requests are needed.The same or similar option only provides information on base codes, not related accessories or drugs. For
example, if a beneficiary has a manual wheelchair (K0001) and leg rests (K0195), the same or similar option
only provides equipment that is same or similar for the K0001. No information will be given on the K0195.
The Certificate of Medical Necessity option is still available which can give accessories and/or drugs related to
a base code.
When same or similar status is selected, the IVR will request and collect the following elements:
• National Provider Identifier (NPI)
• PTAN (10-digit supplier number)
• Last 5 digits of the Tax Identification Number (TIN)
• Beneficiary Medicare number
• Beneficiary first and last name (last name and first initial if using touch-tone)
• Beneficiary date of birth
• HCPCS code
Once the authentication elements have been verified, the IVR will supply the following, if applicable:
• Initial certification date
• Recertification date
• Revised date
• Length of need
• Same or Similar HCPCS code
At any time during same or similar status the caller can give the next Medicare number if multiple same or
similar status requests are needed.
At the end of same or similar status playback the caller has the option of saying; “change HCPCS” to obtain
information on another HCPCS code for the same beneficiary.
Providers must speak with a live customer service representative to obtain HCPCS codes beginning with the
letters A, L, or V. The IVR will not search for the same or similar items listed below:
• Diabetic Supplies
• External Breast Prosthesis
• Eye Prosthesis
• Facial Prosthesis
• Knee Orthosis
• Lower Limb Prosthesis
• Orthotic Footwear
• Refractive Lenses
• Spinal Orthosis TLSO and LSO
• Surgical Supplies
• Therapeutic Shoes for Diabetics
• Tracheotomy Supplies
• Urological Supplies
• TENS Supplies
Note: The same or similar option will provide information to the initial dates for HCPCS codes up to 5 years. The CMN option is still available which can give accessories and/or drugs related to a base code.
Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.
Medicare Guideline posts
- Home
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation process - how often provide need to do - FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list

Subscribe to:
Post Comments (Atom)
Top Medicare billing tips
-
CPT CODE and Description CPT 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires thes...
-
Procedure code and description 11400- Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion d...
-
URIBEL- methenamine, sodium phosphate, monobasic, monohydrate, phenyls alicylate, methylene blue, and hyoscyamine sulfate capsule Uribel i...
-
LAPAROSCOPY ; LAPAROSCOPIC SURGERY Procedures and Related CPT and ICD-9 Procedure Codes CPT Code CPT Description ICD -9 ...
-
This post has Most used J code list and we are constantly updating with example . If you are looking particular J code, use search button. ...
-
Procedure code and description 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee...
-
procedure code and description 11042 -Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 square cm ...
-
Procedure code and description 93224 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage;...
-
CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr...
-
Procedure Codes and Definitions 36415 Collection of venous blood by venipuncture - Fee schedule amount $3.10 - Private insurance pay upt...

No comments:
Post a Comment